| NPI | 1871950667 |
|---|---|
| Former Name | JULIE NICOLE TAYLOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TX 25167636) |
| Additional Taxonomies | 208D00000X General Practice (Licence: VA 0101262956) |
| Enumeration Date | 2016-01-25 |
| Last Update Date | 2024-09-10 |